ATI PROCTORED EXAM MEDICAL SURGICAL FORM A
EXAM 2024 QUESTIONS WITH 100% CORRECT ANSWERS
/A+ GRADE ASSURED
• A nurse is preparing to administer thrombolytic therapy to a patient who
had an ischemic stroke. Which of the following is an appropriate nursing
action?
-Start the therapy within 8 hrs. (within 6 hrs.)
-Insert an indwelling urinary catheter after therapy begins
-Monitor blood pressure every 30 minutes during infusion.
-Elevate the head of the bed between 25 and 30 degrees (to reduce ICP &
promote venous drainage, ATI page 89)
• A nurse is caring for a patient who was admitted with nausea, vomiting, and
a possible bowel obstruction. An NG tube is placed and set to a low
intermittent suction. Which of the following findings should the nurse report to
the provider?
-The patient reports being extremely thirst with a sore throat
-The drainage is bright green in color with brown fecal material
-The amount of drainage is gradually decreasing
-The patient’s abdomen becomes distended and firm.
• A nurse is reviewing the medical record of a patient who has diabetes
insipidus. Which of the following findings should the nurse expect?
-Elevated blood pressure
-Hypothermia
-Urine specific gravity 1.001
,-Bun 15 mg/d:
• The nurse is caring for a patient who has hyperthyroidism and develops
thyroid storm. Which of the following instructions should the nurse give to the
patient regarding management of thyroid storm?
-You will need to begin taking an ACE inhibition medication
-You will need a pacemaker to increase your heart rate
-You will need a cooling blanket to lower your body temperature
-You will need additional thyroid supplementation
• The nurse is reviewing the medical record of a patient who has acute gout.
The nurse should expect an increase in which of the following laboratory
results?
-Uric acid
-Intrinsic factor
-Creatinine kinase
-Chloride level
• A nurse is preparing to administer peritoneal dialysis to a patient. Which
of the following actions should the nurse take?
-Use clean technique to access the catheter
-Chill the dialysate before administration
-Hang the drainage bag below the patient’s abdomen
-Place the patient in high-Fowler’s position.
,• A nurse in the emergency department is caring for a patient who has deep
partial thickness burns over 30% of his body, including his upper chest and
abdomen. Which of the following actions is the nurse priority?
-Insert an 18-gauge IV catheter
-Administer tetanus toxoid
-Check the patients mouth for black particles
-Remove the patients burned clothing.
• A nurse is presenting an in-service program about Parkinson’s disease
(PD). Which of the following statements should the nurse include in
teaching?
-PD results form a decreased amount of dopamine in the patient’s brain
-PD causes patients to have an increased sympathetic nervous system response
-PD results in the development of neurofibrillary tangles within the patient’s
brain
-PD manifestations worsen due to the patients decreased production of
acetylcholine
• A nurse is teaching a patient about the use of an incentive spirometer.
Which of the following instructions should the nurse include in the teaching?
-Place hands on the upper abdomen during inhalation.
-Exhale slowly through pursed lips.
-Hold breath about 3 to 5 seconds before exhaling. (ATI page 138)
-Position the mouthpiece 2.5 cm (1 in) from the mouth.
, • A nurse is assessing a patient who is 12 hr. postoperative following a colon
resection. Which of the following findings should the nurse report to the
surgeon?
-Heart rate 90/mm
-Hgb 8.2 g/dL
-Gastric ph of 3.0
-Absent bowel sounds
Recall that bowel sounds are altered in patients with obstruction; absent bowel
sounds imply total obstruction. QSEN: Safety (Book page 1143)
• A nurse is contacting the provider of a patient who has cancer and is
experiencing
breakthrough pain. Which of the following prescriptions should the nurse
anticipate?
-Intravenous dexamethasone
-Transmucosal fentanyl
-Oral acetaminophen- not strong enough
-Intramuscular meperidine
Fentanyl is a lipophilic (readily absorbed in fatty tissue) opioid and, as such,
has a fast onset and short duration of action. It is recommended opioid for
patients with end-organ failure because it has no clinically relevant
metabolites. It also produces fewer hemodynamic adverse effects than other
opioids; therefore, it is often preferred in patients who are hemodynamically
unstable such as the critically ill. (Book page 59)
EXAM 2024 QUESTIONS WITH 100% CORRECT ANSWERS
/A+ GRADE ASSURED
• A nurse is preparing to administer thrombolytic therapy to a patient who
had an ischemic stroke. Which of the following is an appropriate nursing
action?
-Start the therapy within 8 hrs. (within 6 hrs.)
-Insert an indwelling urinary catheter after therapy begins
-Monitor blood pressure every 30 minutes during infusion.
-Elevate the head of the bed between 25 and 30 degrees (to reduce ICP &
promote venous drainage, ATI page 89)
• A nurse is caring for a patient who was admitted with nausea, vomiting, and
a possible bowel obstruction. An NG tube is placed and set to a low
intermittent suction. Which of the following findings should the nurse report to
the provider?
-The patient reports being extremely thirst with a sore throat
-The drainage is bright green in color with brown fecal material
-The amount of drainage is gradually decreasing
-The patient’s abdomen becomes distended and firm.
• A nurse is reviewing the medical record of a patient who has diabetes
insipidus. Which of the following findings should the nurse expect?
-Elevated blood pressure
-Hypothermia
-Urine specific gravity 1.001
,-Bun 15 mg/d:
• The nurse is caring for a patient who has hyperthyroidism and develops
thyroid storm. Which of the following instructions should the nurse give to the
patient regarding management of thyroid storm?
-You will need to begin taking an ACE inhibition medication
-You will need a pacemaker to increase your heart rate
-You will need a cooling blanket to lower your body temperature
-You will need additional thyroid supplementation
• The nurse is reviewing the medical record of a patient who has acute gout.
The nurse should expect an increase in which of the following laboratory
results?
-Uric acid
-Intrinsic factor
-Creatinine kinase
-Chloride level
• A nurse is preparing to administer peritoneal dialysis to a patient. Which
of the following actions should the nurse take?
-Use clean technique to access the catheter
-Chill the dialysate before administration
-Hang the drainage bag below the patient’s abdomen
-Place the patient in high-Fowler’s position.
,• A nurse in the emergency department is caring for a patient who has deep
partial thickness burns over 30% of his body, including his upper chest and
abdomen. Which of the following actions is the nurse priority?
-Insert an 18-gauge IV catheter
-Administer tetanus toxoid
-Check the patients mouth for black particles
-Remove the patients burned clothing.
• A nurse is presenting an in-service program about Parkinson’s disease
(PD). Which of the following statements should the nurse include in
teaching?
-PD results form a decreased amount of dopamine in the patient’s brain
-PD causes patients to have an increased sympathetic nervous system response
-PD results in the development of neurofibrillary tangles within the patient’s
brain
-PD manifestations worsen due to the patients decreased production of
acetylcholine
• A nurse is teaching a patient about the use of an incentive spirometer.
Which of the following instructions should the nurse include in the teaching?
-Place hands on the upper abdomen during inhalation.
-Exhale slowly through pursed lips.
-Hold breath about 3 to 5 seconds before exhaling. (ATI page 138)
-Position the mouthpiece 2.5 cm (1 in) from the mouth.
, • A nurse is assessing a patient who is 12 hr. postoperative following a colon
resection. Which of the following findings should the nurse report to the
surgeon?
-Heart rate 90/mm
-Hgb 8.2 g/dL
-Gastric ph of 3.0
-Absent bowel sounds
Recall that bowel sounds are altered in patients with obstruction; absent bowel
sounds imply total obstruction. QSEN: Safety (Book page 1143)
• A nurse is contacting the provider of a patient who has cancer and is
experiencing
breakthrough pain. Which of the following prescriptions should the nurse
anticipate?
-Intravenous dexamethasone
-Transmucosal fentanyl
-Oral acetaminophen- not strong enough
-Intramuscular meperidine
Fentanyl is a lipophilic (readily absorbed in fatty tissue) opioid and, as such,
has a fast onset and short duration of action. It is recommended opioid for
patients with end-organ failure because it has no clinically relevant
metabolites. It also produces fewer hemodynamic adverse effects than other
opioids; therefore, it is often preferred in patients who are hemodynamically
unstable such as the critically ill. (Book page 59)
